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IR - 65004
t �� _ .. � NQ �_ 1 1 80�i6�) _ r _ __j Building Job Report ADDRESS ,�� �,.3 � ° /�(JH�-� '�� %�� OWNER �9Effi- �i,� �C 2� � DATE PERMIT NO. Q GS "S�6 DESCRIPTION p2 3S % a- INSPECTION RECORD DATE REPORT '� — 2 7-7`R� J ��'a c' � S< <° -��- ..� OWNER - REP INSPECTOR � �